|Medication||Form||Dose/Schedule||Dose Range||Onset/Duration||Most Common|
5, 10, 20 mg
2.5, 5, 10 mg
|Usually given two or three times a day.|
Begin 5 mg early AM & noon.
|onset: 15-20 min|
duration:4 hrs max
|Decreased appetite, decreased sleep, less|
common: headaches, stomach aches, irritability, weight loss, tics,
“rebound”. Can overstimulate or make too calm if dose is
too strong. These are true for all stimulants listed on the
first two chartsSame as above.
|EVERY MEDICINE ON|
THIS TABLE IS (MPH) METHYLPHENIDATE BASEDMethylphenidate is the generic name of
all these. Works quickly, effective often. The most studied. Little to no lab
testing needed. Good safety history. Methylin has no dye, is very small,
and comes in grape chewable and liquid.
Focalin is a refined isomer form which may be better tolerated and
|Caution if history of tics or Tourette’s|
or high blood pressure or heart problems. Controlled substance. Must hand write all scripts,
no refills, no call ins. True for all stimulants listed on the first
two chartsSome kids get “meaner” with stimulants, especially amphetamines
listed on second chart.
Focalin (dexmethylphenidate)Focalin XR
2.5, 5, 10mgFocalin XR comes in 5, 10, 15, 20, 25, 30, 35, 40mg
|Focalin: 4-5 hrs.|
Foclin XR: 8 hrs.
20mg SR10mg ER
|Begin 10 or 20mg SR in AM, may need|
increase or noon dose. May need regular Ritalin to start in AM or extend
duration to PM. All 4 of these are time release capsules.
|onset: 30-60 min|
are longer lasting versions of methylphenidate. Avoids noon dose, usually.
Concerta is a methylphenidate in a clever osmotic pressure release
mechanism pill. Metadate CD uses a third mechanism to extend the duration
and smooth the effect of methylphenidate. Metadate CD, Ritalin LA,
Aptensio XR, and Focalin XR capsules can be pulled apart and
sprinkled on food. Quillivant is a time release liquid while Quillichew
is a chewable time release pill. Daytrana is a skin patch.Metadate CD is 30% IR + 70% ER
Ritalin LA is 50% IR + 50% ER
18, 27, 36, 54mg
|Once a day in|
|onset: 15-30 min|
duration: 8-10 hrs.
Metadate CDRitalin LA
|10, 20, 30, 40,|
50, 60mg CD capsule10, 20, 30, 40mg capsules
|These 2 are time|
release capsules.Start 10-20mg AM
Give once a day in AM
Max is 60mg/d
onset: 30 min.
duration: 6-8 hrs.
10, 20mg scored
40mg is not scored
Once a day in AM
10mg/d = 2 ml20mg/d = 4 ml30mg/d = 6 ml40mg/d = 8 ml50mg/d = 10 ml
|onset: 30 min|
duration: 8-12 hrs.onset: 30-60 min
duration: 8-12 hours
Same as above.
|The only time|
release liquid stimulant.The only
chewable extended release ADHD med.
Releases biphasic 30% IR + 70% ER
Comes as powder in bottle, add water, shake vigorously before each use. Refrigerate. Use dropper to measure.Brand only – 2014New formulation
|Aptensio XR||capsule 10, 15,|
20, 30, 40, 50, 60mg
|Once a day in AM|
Start 10 mg
|onset: 30-45 min|
duration: 8-12 hours
|Same as above.||Another capsule|
option. Can be sprinkled on food. 40% immediate (IR) and 60% delayed
10, 15, 20, or 30 mg/9 hours
One patch per day to hip in early a.m. Remove after 6 to 12 hours – 9 hours is advised.
Child: 10-20mgpatchAdoles: 15-30mgpatchAdult: 15-30mg
onset: 2 hoursduration: 1-2 hours after patch removed
|Same as above plus patch may irritate skin.|
designed to be cut, patch can be cut to lessen dosage.
Avoids oral dosing. Should cover school day and longer. Duration can be adjusted by time patch is put and removed. May be smoother.
Patch can be removed early to shorten duration.
Slow onset.Patch may come off accidentally.
Patch may rarely lastingly discolor skin. Even low dose patch may be too
strong for a child.
Simultaneous use of alcohol or cigarettes and especially street drugs should be avoided. All medications should be avoided if possible in pregnancy. This chart is intended to be a summary guide, not a full and complete list.